Feetham Jane E, Christian Will, Benger Jonathan R, Hoskins Rebecca, Odd David, Lyttle Mark D
Emergency Department, Bristol Royal Hospital for Children, Bristol, UK.
Emergency Department, Bristol Royal Infirmary, Bristol, UK Academic Department of Emergency Care, University of the West of England, Bristol, UK.
Emerg Med J. 2015 May;32(5):379-82. doi: 10.1136/emermed-2013-203514. Epub 2014 Jun 5.
The aim of this project is to establish the unplanned reattendance rate for paediatric emergency nurse practitioners (PENPs) working in a designated paediatric emergency department (PED) while identifying the case mix of patients seen by PENPs compared with their medical counterparts.
Quantitative data regarding patient characteristics and reattendance were collected during retrospective review of case notes across two representative 2-week periods.
The study site is a tertiary urban PED with an annual attendance of 32 000 patients aged from birth to 15 years.
Reattendance rates, patient characteristics, triage scores, presenting complaint and numbers of patients discussed with a paediatric emergency medicine consultant were evaluated.
The results showed that PENPs have a lower reattendance rate (1.75%) when compared with senior and junior doctors in training (4.29%, 5.76%); however, PENPs treat a different population of children. When the odds of PENP reattendance are adjusted for this, the significance of the difference becomes less certain.
PENPs work autonomously when seeing children presenting with minor trauma and make a positive contribution in achieving the reattendance Clinical Quality Indicator.
本项目旨在确定在指定儿科急诊科（PED）工作的儿科急诊护士从业者（PENP）的非计划复诊率，同时确定PENP与医学同行相比所诊治患者的病例组合情况。
在对两个具有代表性的两周期间的病例记录进行回顾性审查时，收集了有关患者特征和复诊情况的定量数据。
研究地点是一家城市三级PED，年就诊患者为32000名，年龄从出生到15岁。
评估复诊率、患者特征、分诊分数、就诊主诉以及与儿科急诊医学顾问讨论的患者数量。
结果显示，与接受培训的高级和初级医生（分别为4.29%、5.76%）相比，PENP的复诊率较低（1.75%）；然而，PENP诊治的儿童群体有所不同。对此进行调整后，PENP复诊的差异显著性变得不那么确定。
PENP在诊治轻度创伤儿童时能够自主工作，并在实现复诊临床质量指标方面做出了积极贡献。
